Overall Level Of Patient Satisfaction Research Articles

P056 Patient Satisfaction Survey of a Newly Set-Up Fast Track Giant Cell Arteritis Service in a District General Hospital

Abstract Background/Aims Giant Cell Arteritis (GCA) is a multisystem, large and medium artery vasculitis, which results in significant comorbidity, even mortality. Prompt diagnosis is a pivotal first step in its effective management. To that effect, we set up a fast track service in Eastbourne District General Hospital (EDGH) for a one-stop-shop assessment of GCA referrals with Ultrasound Doppler. Fifteen months from service commencement, we embarked on assessing patient satisfaction of our service users. This exercise could provide vital insight into the effectiveness of our new service, and thus drive improvement. Furthermore, it is well established that patient satisfaction is associated with improved outcomes in patient care, be it due to improved compliance, engagement with the service, or overall better understanding of the underlying condition. Aims 1. To assess overall level of patient satisfaction of our new fast track GCA service against a number of internally set criteria; 2. To improve the effectiveness of the service based on feedback from the actual service users; 3. To improve the level of satisfaction of patients coming through the GCA service. Methods We set up a dedicated GCA clinic aiming to see patients within five days of referral. In order to assess overall patient satisfaction of the service, we formulated a questionnaire-based survey that was posted to 99 service users. We assessed five areas overall: appointment allocation process; staff attitude; information supplied; advice line effectiveness; overall satisfaction. Data were collected and analysed on Microsoft Excell. No patient identifiable details were collected. Results Out of the 99 feedback forms that were sent out, 51 were returned completed within the survey period. The appointment allocation process was assessed as “excellent” by 95% of responders, and “satisfactory” by 5%. Staff received 98% “excellent” rating. Information provided to the patient was assessed as 91% “excellent”, 8% “satisfactory”, and 1% “poor”. Response to advice line inquiries received 54% “excellent”, 18% “satisfactory”, and 2% “poor” rating (26% of responders answered “non-applicable”). Finally, overall satisfaction was rated at 93%, with, crucially, no service user providing a “poor” rating. Conclusion We conducted a patient survey to assess overall satisfaction of our new fast track GCA pathway, ultimately aiming at improving our service. The overwhelming majority of the feedback was positive, but we focused and acted on suggestions. Following the survey, we have a) designed a GCA “passport” with useful information for newly diagnosed patients; b) revisited the advice line with a modified information leaflet for this service; c) endeavoured to optimise the referrals process via education sessions on GCA for Hospital and Primary Care clinicians. Following a period of intervention, we will be reassessing patient satisfaction, aiming to continue improving our service. Disclosure A. Hall: None. P. Kamperidis: None. H. Perera: None. S. Panthakalam: None.

IJCM_417A: Internet health information seeking and its effect on patient-doctor relationship and satisfaction among patients attending a tertiary care hospital in Mangalore

Background: The doctor-patient relationship is a fundamental and essential component of healthcare that plays a critical role in patient outcomes, trust, and overall quality of care. Internet-based health information has been found to have both positive and negative effects on patients. Objectives: To assess the internet health-seeking behaviour among patients, and its effect on the doctor-patient relationship Methodology: In this facility-based cross-sectional study, 110 patients were assessed regarding their internet health-seeking behaviour and its effect on the doctor-patient relationship. Patient-Doctor Depth-of-Relationship Scale and Patient Satisfaction Questionnaire – Short form (PSQ-18) was used to assess the relationship. A comparison of patient satisfaction scores and doctor-patient relationship scores among those who use the internet for seeking health-related information with those who do not was done by independent t-test and P < 0.05 will be considered to be a statistically significant difference. Results: Sixty-seven-point three per cent use the internet for health-related information. Most of the patients felt satisfied with their medical care but there was still some scope of improvement in the domains of communication and the time devoted by the doctor to the patient. The overall level of patient satisfaction was above average. Our study also showed that 77.2% of the study participants had a good relationship with their doctor. Conclusion: In our study, we found that the internet using study participants were found to have an above average satisfaction with their doctors.

Analysis of Patient Satisfaction in the Registration Section at the Regional General Hospital in Mandau District, Bengkalis Regency in 2023

This study was conducted at the Mandau District General Hospital in Bengkalis Regency with the goal of determining patient satisfaction at the registration section in 2023 by looking at the level of satisfaction based on five quality dimensions, namely Reliability, Responsiveness, Assurance, Empathy, and Tangibles. A quantitative research design with a cross-sectional design was used in this investigation. This study's sample size was 300 persons. The Mann Whitney test was used to analyze data using univariate and bivariate analysis. According to the findings of the investigation, the overall level of patient satisfaction with the registration part was high for the majority of 184 people (61.3%). JKN patients have a modest level of satisfaction in the majority of quality characteristics. JKN patients reported moderate satisfaction on the reliability dimension, 52% on the responsiveness dimension, and 58.7% on the assurance dimension. Meanwhile, patients had high levels of satisfaction on the areas of empathy and tangibles, with 57.2% and 74.7%, respectively. Non-JKN patients had a high degree of satisfaction in all quality dimensions. 55.3% of Non-JKN patients reported high satisfaction on the reliability dimension, followed by 69.3% on the responsiveness dimension, 66.7% on the assurance dimension, 78% on the empathy dimension, and 80% on the tangibles component. There is a significant difference between the satisfaction of JKN and Non-JKN patients with the registration services at the Mandau District Hospital, Bengkalis Regency in 2023.

Outpatients satisfaction and perceptions toward pharmaceutical services in public and private hospitals in Palestine: a cross-sectional study

BackgroundPharmaceutical care is an essential component of healthcare services, and patient satisfaction with these services is crucial for improving overall health outcomes. We aimed to evaluate patient satisfaction and perception with pharmaceutical care services provided at public and private hospitals for outpatient pharmacies. This study can provide insights into the quality of pharmaceutical services provided in both settings and identify areas for improvement.Materials and methodsA cross-sectional 1-month study was conducted in three hospitals in Nablus city in the Northern District of West Bank, Palestine. Participants were a convenience sample of outpatients who attended the study-selected hospitals (two public and one private). A sample of 30 patients from each hospital was selected with a total of 90 patients. A self-administered questionnaire was used to assess socio-demographics pharmacist-related issues, waiting and working time, and medication availability.ResultsA total of 90 patients were recruited. The overall level of patient satisfaction with pharmaceutical health services was moderate with a mean of 3.24 out of 5. Females represented 58.9%. The most prevalent age was (30–39) years (30%). There was a statistically significant difference in patient satisfaction with pharmaceutical services regarding working time between the morning and evening shifts (p value = 0.009) in favor of morning shift. No statistically significant differences in satisfaction with pharmaceutical treatments based on socio-demographics (age, gender, marital status, education level, family income, employment status, and living place), were found. Nearly, 70% of patients indicated having problems getting the medicine on their last visit to the hospital pharmacy. Only 66.7% of patients expressed satisfaction with the pharmacies’ operating (working) hours.ConclusionsPatient satisfaction with pharmaceutical care services could be enhanced by involving pharmacists in patient-oriented training and informing patients about the role of pharmacists. Patient satisfaction in the evening shift might be improved by establishing a system for continuous evaluation and improvement of pharmaceutical care services in hospitals to ensure the highest quality of care for patients in addition to implementing technology such as electronic prescribing and medication management systems that can improve the accuracy and efficiency of pharmaceutical services in hospitals.

Evaluation of Levels and Determinants of Patient Satisfaction with Primary Health Care Services in Saudi Arabia: A Systematic Review and Meta-Analysis

BackgroundThe Saudi Ministry of Health makes continual efforts to provide high-quality preventive services through a large network of primary health care (PHC) centers. Patient satisfaction is integral to measuring health outcomes and the quality of these services.MethodsWe searched the Cochrane, EMBASE, and Google Scholar databases for studies investigating patient satisfaction with PHC services in Saudi Arabia in the past 10 years. The risk of bias and heterogeneity across the included studies were assessed with Newcastle Ottawa scale and I2 test, respectively. Review Manger version 5.311 was used for data analysis with the random effect model. The quality of evidence of each outcome was measured with the GRADE approach.ResultsThe review included 3302 Saudi residents from six observational studies conducted in different regions of Saudi Arabia. Most studies included in the review had low risk of bias regarding the studied domains. The review indicated moderate overall satisfaction with PHC services (77.00%) among participants. More than 60% of the participants (63.11% and 82.59%) were satisfied with the continuity and communication of PHC services, respectively, whereas, less than half (41.73% and 46.92%) were satisfied with the accessibility of the PHC services and the health education provided at these centers. Moreover, low satisfaction was found among older patients and those with low educational levels. Other sociodemographic factors did not determine patient satisfaction.Conclusion and RecommendationsThis review indicated a moderate level of overall patient satisfaction with respect to the targeted satisfaction level for Saudi Ministry of Health 2023 PHC services of 85%. Additional efforts and continuing evaluation by health care providers will be crucial to address the weaknesses in PHC services.

Adult Patient Satisfaction with Nursing Care Services and Associated Factors Among Admitted Patients at Saint Paul's Hospital, Millennium Medical College, Addis Ababa, Ethiopia, 2022: A Cross-Sectional Study.

Providing comprehensive nursing care and ensuring patient satisfaction are essential health performance indicators worldwide. Despite some efforts to improve patient satisfaction with nursing care, the approach in developing countries, including Ethiopia, remains insufficient. This study aimed to assess the level of adult patient satisfaction and identify the factors affecting satisfaction. This cross-sectional study included 407 participants selected using a simple randomization technique. The samples were distributed using proportional allocation to each selected adult inpatient department. The participants were interviewed using a modified structured Amharic version of the Newcastle Satisfaction with Nursing Scale. Bivariate and multivariable logistic regression analyses were also performed. The overall level of patient satisfaction with nursing care services was 54.3%. Respondents without formal education (P=0.010), male sex (P=0.041), free service consumers (P0.001), and health insurance users (P0.001) were significantly associated with satisfaction with nursing care. In addition, previously hospitalized patients (P=0.001), governmental workers (P0.001), and patients admitted to the medical ward (P=0.010) were associated with patient dissatisfaction with nursing care services. This study revealed that adult patient satisfaction with nursing care services is low. A previous admission history, higher education level, paying cash for services, and private and governmental workers were significant predisposing factors for dissatisfaction with nursing care. On the other hand, patients without formal education, free-service consumers, and male sex were significant predictors of satisfaction with nursing care services. Therefore, hospital administrators are encouraged to focus on patients' needs and expectations.

Patient Satisfaction and Its Predictors With Perioperative Anesthesia Care at Two General Hospitals in Southwestern Saudi Arabia.

Introduction Patient satisfaction is one of the most crucial quality assessment and improvement indicators in anesthesia. Different factors reflect satisfaction such as postoperative pain, procedure duration, patient-physician relationship, inpatient services, and waiting time. A high level of satisfaction can lead to better outcomes in many ways, such as decreasing future surgeries fear and strengthening the healthcare system trust among the population. Therefore, this study aimed to evaluate the satisfaction level and its predictors with perioperative anesthesia care among patients subjected to different surgeries in two general hospitals in southwestern Saudi Arabia. Methodology A cross-sectional study was conducted among patients admitted to different surgical specialties at two general hospitals in Al-Qunfudhah governorate in October 2022. Data were collected through interviews with postoperative patients and checking their medical data from the patient's medical reports. However, all surgical patients aged more than 18 consider as inclusion. In contrast, intensive care unit (ICU) admission, local anesthesia, refusal to participate, and cognitive and communication impairment aretheexclusion. Perioperative patient satisfaction was assessed using the Leiden Perioperative Care Patient Satisfaction Questionnaire (LPPSq). Results Eighty-three of 201 patients were included in the final analysis. The overall level of patient satisfaction concerning perioperative anesthetic care was calculated to be 73.5%. Hospital setting, admission type, BMI, and smoking were statistically associated with perioperative anesthesia patient satisfaction. Additionally, the most frequently reported unpleasant anesthetic side effect was shivering, followed by postoperative pain at a frequency of 42 (50.6%) and 37 (44.6%), respectively. Conclusion A moderate level of patient satisfaction concerning perioperative anesthetic care was detected. Smoking, BMI, admission type, and hospital setting were significantly associated predictors for patients' satisfaction. In order to present a complete picture, we recommend that future research concentrate on additional elements of patient satisfaction, particularly operating room turnover and standards for discharge. Additionally, we propose a routine evaluation before patients' discharge when patients are altering and oriented. Periodic evaluation and enhancement of patient satisfaction with perioperative anesthetic care should be employed and promoted.

Impact of Organisational and Legal Changes in the Healthcare System in Poland on Satisfaction of Patients of the Regional Multi-Specialist Center for Oncology and Traumatology of the Nicolaus Copernicus Memorial Hospital in Lodz on the Basis of Selected Elements of Healthcare

Abstract Introduction In 2017, an amendment to the Act on Healthcare Services Financed from Public Funds of 23 March 2017 introduced a system of basic hospital provision of healthcare services, the so-called ‘hospital network’. Aims The main aim of the study was to find out the impact of organisational and legal changes to the healthcare system in Poland in the form of an amendment to the Act on Healthcare Services Financed from Public Funds of 23 March 2017 on patient satisfaction with selected elements of healthcare. Material and methods The study was conducted in two stages: before and after the introduction of the amendment. The study covered 847 patients in stage I and 723 patients in stage II in several randomly selected wards of the Regional Multi-Specialist Center for Oncology and Traumatology of the Nicolaus Copernicus Memorial Hospital in Lodz. Descriptive and inferential statistics were used in the data analysis. Results The majority of the surveyed patients had no opinion on the impact of the amended Act on the quality of provided services. Similar results were obtained when analysing the patients’ assessment of reduction of queues to a specialist doctor. A large group of respondents claimed that the amendment to the Act would not reduce queues for hospital treatment. While assessing the current healthcare system, both before and after the amendment to the Act, patients most often gave a rating of 4 (45.2% and 47.2%), while about one third of patients gave a rating of 3 (30.8% and 33.7%). Patients gave the highest rating for the performance of doctors as well as of nursing and auxiliary staff. Conclusions Introduction of the amendment to the Act on Healthcare Services Financed from Public Funds has not affected the overall level of patient satisfaction with healthcare.

Evaluation of Patient Experiences Regarding Pharmacist-Administrated Vaccination and Attitude towards Future Additional Pharmacy Services in Poland.

In order to increase the number of vaccinations performed during the COVID-19 pandemic in Poland, a significant change was introduced in the legislation allowing for the vaccination to also be performed in pharmacies. A cross-sectional survey was conducted among those who chose a pharmacy as a vaccination point during the pandemic COVID-19. The aim of the study was to determine the overall level of patient satisfaction with pharmacist-administered vaccination in pharmacies and to examine patient opinions regarding the further expansion of pharmacy services. A patient survey was conducted immediately after vaccination in the period from January to March 2022. A total of 398 questionnaires were completed. The respondents reported high satisfaction with pharmacist-administered vaccinations (94.5%). In addition, the majority of consumers felt safe during the vaccination procedure (98.5%), and 88.4% declared they would come for other vaccinations at the pharmacy. The two main reasons for choosing this vaccination place were easy access regarding location (94.2%) and proposed vaccination hours (95.2%). The participants reported high levels of satisfaction concerning the pre-vaccination interview (91.2%), information level before immunization (91.5%), injection technique (96.7%), adjusting the premises to the service (95%) and general care in pharmacy after with vaccination (87.7%). The majority of respondents supported the future expansion of pharmacist-administered services, although the support rate ranged from 52% to 83% depending on the type of service offered. The majority of patients supported the continuation of ongoing prescriptions, blood pressure and blood glucose measurement services by pharmacists. Our findings indicate that the involvement of pharmacies in vaccination programs and other public health services met high levels of patient acceptance.

Dentistry during COVID-19: patients' knowledge and satisfaction toward health protocols COVID-19 during dental treatment

BackgroundCoronavirus disease 2019 (COVID-19) as an infectious disease primarily spreading through droplet infection in dental treatment. Patient satisfaction is an indicator of healthcare quality service. Quality of healthcare service and patient satisfaction has been affected by the COVID‑19 pandemic. This study aims to assess the knowledge and satisfaction toward health protocols COVID-19 during dental treatment among dental patients.MethodsAn institutional-based cross-sectional study was conducted on 270 dental patients using a self‑designed questionnaire consisting of knowledge and satisfaction about health protocols COVID-19 during dental treatment through a random sampling technique. Data were imported to SPSS version 21 for analysis. Descriptive and analytical statistics were used to identify the factors associated with their knowledge and satisfaction. A p value < 0.05 was considered statistical significance.ResultsTotally, 270 dental patients with mean age of 37.6 ± 6.7 years participated in the study. The mean knowledge score was 36.7 ± 3.5, as considerable number of participants were unaware about the risk associated with dental treatment as well as restrictions imposed on dental procedures. About 18% of participants experienced one or other form of dental complaints during the lockdown period. The overall level of patient satisfaction was 44.6%.ConclusionIt can be concluded that, public knowledge is to be improved about risk of virus transmission that can be related with dental treatment and also people should be encouraged to use virtual facilities, such as teledentistry, so that no dental emergencies is left untreated during the pandemic time. In addition, the level of satisfaction was in a medium level for dental patients in the study area. Specifically, we deduced from the results that social/physical distancing measures are one of the mechanisms to decrease the fear of exposure to the COVID-19.

Patient satisfaction with referral service and associated factors among public hospitals in and around Addis Ababa, Central Ethiopia.

Objective:Studies in sub-Saharan Africa have shown that patient satisfaction with referral procedures and systems is low due to multiple factors. Despite the challenges on patient satisfaction with referral service in Ethiopia, there are only limited studies on overall satisfaction and associated factors with referral services of the hospitals. The purpose of this study was to determine patient satisfaction with referral services and related characteristics among patients referred to referral hospitals in Central Ethiopia, in the year 2021.Methods:A facility-based multi-center cross-sectional study was conducted at public hospitals in and around Addis Ababa using both quantitative and qualitative data collection methods. The hospitals were selected using a simple random sampling method from the list. Data were collected from 317 referral forms and chart reviews, 310 patient interviews, 27 focused group discussions, and 16 insider observations. The collected data were coded and entered into EPI INFO version 7 and transferred to SPSS version 25 for further analysis. Both binary and multivariable logistic regression models were computed to see the association between independent versus outcome variables. The findings were taken as significant with a p value of <0.05 at 95% confidence interval and results were presented with text, graphs, figures, and tables.Result:Overall level of patients’ satisfaction of referral services in Central Ethiopia was 73.5%, confidence interval (67.9%–81.1 %,) and near 85% of the participants had got an examination by the respective health care worker on arrival. This study identified that factors that increase odds of patient satisfaction toward referral services were status of communication (adjusted odd ratio 44.09 (95% confidence interval, 5.47, 355.68), perceived level of experience of health providers who handle the referral process (adjusted odd ratio 6.42 (95% confidence interval, 1.20, 34.42) and coordination status of the hospitals during referral acceptance (adjusted odd ratio 35.50 (95% confidence interval, 4.87, 258.60) and these were significantly associated with patient’s satisfaction toward referral services. Referral without communication among hospitals was stated as the leading challenge by focused group discussants and very limited practice on referral feedback was reported by insider observers.Conclusion:This study determined that the overall level of patient satisfaction toward referral services in Central Ethiopia was moderate with identified factors that increase odds of patient satisfaction toward referral system being the way of communication, health provider’s experience, and coordination status of the hospitals on referral acceptance. Hence, policymakers and the ministry of health would better consider the aforementioned factors during referral program development and training for improvement of patients’ satisfaction with referral services.

Classification and clinical evaluation of "spare parts" procedures in mutilating hand injuries

Mutilating hand injuries are common, and reconstruction should be tailored to each case. The “spare parts” concept relies on harvesting tissues for reconstruction from amputated or non-salvageable parts that are being discarded. This study sought to evaluate the outcomes of “spare parts” procedures in mutilating hand injuries and to propose a classification of “spare parts” types. This study included 28 patients with mutilating hand injuries undergoing surgery using “spare parts” for tissue reconstruction either at the time of trauma or later on. A total of 31 “spare parts” procedures were performed on the 28 patients. The outcomes were assessed in terms of reconstruction success, Disabilities of the Arm, Shoulder, and Hand (DASH) score, grip strength, and an overall patient satisfaction score that we designed. Reconstruction using “spare parts” was successful in 25 patients (89%). The mean DASH score was 8.45 ± 4.74, the mean grip strength was 24.57 ± 2.73 kg, and overall patient satisfaction was 3.32 ± 0.77 out of 5. Specific outcomes were assessed using case-specific measures. Based on these data, a hand-specific classification of “spare parts” procedures was designed to be taken into consideration when managing mutilating hand injuries. Besides direct digital replantation and tissue harvesting from different donor sites, the “spare parts” concept is an important tool for a hand surgeon. Its different types should always be taken into consideration when managing mutilating hand injuries to avoid additional donor site morbidities and to achieve a high level of overall patient satisfaction. We propose adding a “patient satisfaction with hand appearance” item to the DASH and QuickDASH score.

Patient Satisfaction and Associated Factors During COVID-19 Pandemic in North Shoa Health Care Facilities.

BackgroundPatient satisfaction is an indicator of healthcare quality service and involved as an outcome measure. Quality of healthcare service and patient satisfaction has been affected by the current coronavirus disease 2019 (COVID-19) pandemic. It induced uncertainness and shortage of medical supplies due to a limited global movement. Therefore, this study aimed to assess patient satisfaction and associated factors among chronic patients who had a follow-up in North Shoa healthcare facilities.MethodsAn institutional-based cross-sectional study was used to select 410 study participants through a systematic random sampling technique. Data were collected by a structured interviewer-administered questionnaire, entered into Epi Info version 7, and transported to SPSS version 23 for analysis. Bivariable and multivariable logistic regressions were used to identify the factors associated with satisfaction. The odds ratio with a 95% confidence interval was computed, and p-value <0.05 was considered statistical significance in the multivariable model.ResultsThe overall level of patient satisfaction was 44.6%. The presence of sign and direction indicators (AOR=3.26, 95% CI=1.1, 9.92), obtaining some ordered drugs (AOR=3.7, 95% CI=1.1, 12.54), getting alcohol for hand cleaning (AOR=2.66, 95% CI=1.1,6.65), obtaining sanitizer for hand cleaning (AOR=4.45, 95% CI=1.72,11.52), and maintaining social distancing (AOR=2.63, 95% CI=1.21, 5.70) were factors associated with patient’s satisfaction.ConclusionThe level of patient satisfaction was very low during a COVID-19 pandemic. The presence of sign and direction indicators, availability of drugs, social distancing, availability of alcohol, and sanitizer were factors associated with patient satisfaction. The intervention targeted at increasing patient satisfaction and improving the quality of service during COVID-19 through maintaining social distancing and availing alcohol or sanitizers is necessary.

Inpatient satisfaction with nursing care in a backward region: a cross-sectional study from northwestern China

ObjectivesThe aim of the study was to examine the level of patient satisfaction with nursing care and identify the factors affecting satisfaction from the inpatient’s perspective in a backward region...

Synergistic Effect of a Selective Serotonin Reuptake Inhibitor and a Selective Cyclo-Oxygenase-2 Inhibitor on Post Spinal Anesthesia Headache

Objective: To evaluate the synergistic effect of a Selective Serotonin Reuptake Inhibitor (SSRI) and a Selective Cyclooxygenase 2 Inhibitor (ISCOx-2) in the management of After Rachianesthesia Headache in Obstetric Care. Patients and Methods: This was an experimental double-blind, randomized, multi-center clinical trial of non-inferiority clinical trials over a 12-month period (May 1, 2018 to April 30, 2019) in six hospitals in southeastern DR Congo, including all patients undergoing surgery or analgesia on spinal anesthesia for obstetrical indication and with headache characteristic of a dural breccia, with no known causes, contraindications to experimental products and informed consent to been obtained. The patients were divided into four different groups depending on the protocol used, namely: Group A = Rehydration + Paracetamol, Group B = Rehydration + Celecoxib, Group C = Rehydration + Nefopam and Group 4 = Rehydration + Celecoxib + Nefopam (Study Group). Using the Statview II software, the statistical analyzes of data obtained from the different tests were made using the ANOVA test for comparing the averages of different samples using the Fisher test. Verification of the normality of the samples was made by the Kurtosis and Skewness flattening and asymmetry test. Results: The protocol associating Celecoxib and Nefopam significantly demonstrates its effectiveness in reducing CPRAOs in the first two days with a gradual decrease in anxiety and length of stay. In addition, the majority of patients (75.6%) had a high overall level of satisfaction with this protocol. Conclusion: The Nefopam-Celecoxib combination shows its effectiveness in the early reduction of these CPRAOs, anxiety and length of stay with a high overall level of patient satisfaction. Given the good tolerance and accessibility of these products, we strongly suggest the use of this protocol for its validation in our environment and elsewhere, although it is desirable to continue research on other non-explored alien pathways.

Does the Payment Method Affect Patient Satisfaction? An Analytical Study in 10 Hospitals in Central Sulawesi

Indonesia has started reforms in the health system over the past five years, aiming to increase access of all people to health services. At present, there is public concern about quality health services, where the success of hospitals in meeting patient expectations is a major determinant in increasing patient satisfaction and trust. Patient satisfaction is an important measure for the process of evaluating the quality of services to patients in hospitals. However, the evaluation of patient satisfaction based on their payment methods is still very limited. The purpose of this study was to measure differences in hospital service satisfaction based on payment methods in Central Sulawesi. &#x0D; &#x0D; This an analytical observational study with a cross-sectional approach. Samples were taken using purposive sampling technique from 10 hospitals in Center Sulawesi. The samples were 107 respondents for each hospital or 1,070 respondents overall. &#x0D; &#x0D; The highest overall level of patient satisfaction on all elements was experienced by respondents who paid using NHIS (77.50%) while the lowest was felt by respondents who paid with KIS (70.74%). The Kruskal Wallis test results for all elements indicated that there were significant differences in satisfaction levels based on the payment methods in all elements with p-value = 0.000, (p-value &amp;lt;0.05). The results of this study indicated that there were significant differences in satisfaction levels based on the payment methods in all elements of service.

Predictors of adult patient satisfaction with nursing care in public hospitals of Amhara region, Northwest Ethiopia

BackgroundNursing care plays a prominent role in determining the overall satisfaction of patients’ hospitalization experience. Studies have shown that satisfaction with nursing care is the best indicator of patients’ satisfaction with healthcare facilities. The aim of the current study was intended to determine the level of satisfaction and identifying factors towards nursing care from the admitted adult patients’ viewpoints.MethodThe study was done from January 01 to February 01/2017 at three public hospitals of Amhara region using an institutional cross-sectional study design. Systematic random sampling technique was employed to recruit 585 sampled study participants. Patient Satisfaction with Nursing Care Scale was utilized to collect the data. Variables which had statistically significant association with the outcome variable (P < 0.05) were identified as significant in the multivariable logistic regression analysis.ResultA total of 563 patients participated. The overall admitted adult patient satisfaction with nursing care was 40.7%. Patients were more satisfied with the provision of health information, affective support, and professional technical control and least satisfied with decisional control which includes allowing patients and their attendants in the involvement of care. Being governmental employee, patients in the age group of 31–40 years and 4–8 patients in a single room were least satisfied with the nursing care whereas ever married, more educated and patients admitted to the surgical ward were more satisfied than their counterparts with nursing care.ConclusionThe overall level of patient satisfaction in this study was very low in comparison with many studies. This may urge hospital administrators, policymakers and nurses to be more sensitive with patients’ decisional control or sense of autonomy when providing care.

Factors That Predict Overall Patient Satisfaction With Oncology Hospital Care in Bulgaria

BackgroundThe relevance of studies focusing on patient satisfaction becomes imperative for patients with cancer, who often face major changes in their lifestyles. Their perceived uncertainty in illness and their personal experiences with the services received are crucial factors for a qualitatively adequate assistance. ObjectivesTo assess the determinants of patient satisfaction, using a sample of 306 Bulgarian oncology outpatients. MethodsThe hypotheses tested concern the extent to which patient satisfaction depends on the uncertainty in illness; the patients' assessment of technical and interpersonal skills of nurses and medical staff; the information provision; and some organizational aspects. Patients were asked to answer a questionnaire composed of internationally validated scales assessing the determinants of patient satisfaction (measured through the European Organization for Research and Treatment of Cancer), uncertainty in illness (assessed through the Mishel Uncertainty in Illness Scale), and patients' health status (assessed through the EuroQol 5-dimensional questionnaire and the visual analogue scale). An ordered logit model was run, using the level of overall patient satisfaction as a dependent variable. ResultsThis is one of the first studies carried out in Bulgaria for oncology patient satisfaction of subjective factors related to the frailty of the oncology patient status such as age, self-assessed health-related quality of life, and uncertainty in illness. Nevertheless, other determinants, reflecting the quality of the care provided, also have an impact on patient satisfaction, namely, the assessment of the nonmedical personnel, the perception of medical technical skills, and the access to a medical center. ConclusionsResults stress the relevance of reducing uncertainty in illness in patients with cancer by implementing a satisfactory patient-physician relationship in the management of the disease.

Hospital responsiveness and its effect on overall patient satisfaction

PurposeHospital responsiveness to the patient expectations of non-medical aspect of care can lead to patient satisfaction. The purpose of this paper is to investigate the relationship between the eight dimensions of responsiveness and overall patient satisfaction in public and private hospitals in Tehran, Iran.Design/methodology/approachThis cross-sectional study was conducted in 2015. In all, 500 patients were selected by the convenient sampling method from two public and three private hospitals. All data were collected using a valid and reliable questionnaire consisted of 32 items to assess the responsiveness of hospitals across eight dimensions and four items to assess the level of overall patient satisfaction. Data analysis was performed using descriptive statistics and multivariate regression was performed by SPSS 18.FindingsThe mean score of hospital responsiveness and patient satisfaction was 3.48±0.69 and 3.54±0.97 out of 5, respectively. Based on the regression analysis, around 65 percent of the variance in overall satisfaction can be explained by dimensions of responsiveness. Seven independent variables had a positive impact on patient satisfaction; the quality of basic amenities and respect for human dignity were the most powerful factors influencing overall patient satisfaction.Originality/valueHospital responsiveness had a strong effect on overall patient satisfaction. Health care facilities should consider including efforts to responsiveness improvement in their strategic plans. It is recommended that patients should be involved in their treatment processes and have the right to choose their physician.

Patient satisfaction with clinical laboratory services at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.

BackgroundMonitoring patient satisfaction is an important and useful quality improvement tool for clinical laboratories in particular and health care organizations in general. Thus, this study aimed to assess patient satisfaction toward clinical laboratory services at Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, Ethiopia.MethodsA hospital-based cross-sectional study was conducted and a convenient sampling technique was applied to recruit study participants. A total of 210 patients who had received laboratory services were included. A self-administered predesigned, pretested, structured questionnaire was used, and data were collected through face-to-face interviews. A 5-point Likert scale with 1 and 5 indicating the lowest and highest levels of satisfaction, respectively, was used and their weighted average was used to categorize the satisfaction level of the patients. Chi square test was used (taking P≤0.05 as the statistically significant level) to find out if any association existed between the level of satisfaction and different attributes. Data were analyzed using SPSS version 20.ResultsThe overall level of patient satisfaction toward clinical laboratory services in this study was 59.7% with a response rate of 210 (100%). The Likert scale results of patient satisfaction of the laboratory services revealed that the mean rating values ranged from 3.05 (±1.12) to 4.12 (±1.08) out of a possible 5. Among the different indicators, patients were highly satisfied with the cleanliness of facility (82%), maintenance of privacy and confidentiality (83.2%), and the cost of the laboratory service (86.5%), while they were dissatisfied with the location of the laboratory (56%), latrine accessibility and availability (58.4%), and latrine cleanness and comfort (63.8%).ConclusionThe whole availability of requested tests, availability of place in blood drawing room to put personal things, and waiting time for specimen collection were found to have a statistically significant association with the overall satisfaction of patients toward clinical laboratory services. Therefore, these could be the possible determinants among others that account for the dissatisfaction of patients with clinical laboratory services.